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NBMC-XRAY EKG
NPI 1063428308
Radiology - Diagnostic Radiology in Coos Bay, OR

Active since July 31, 2006CLIA Certified · 2 labs
1900 WOODLAND DR, COOS BAY, OR 97420(541) 267-5151(541) 266-4501 Get Directions Write a Review

NPPES record last updated: December 7, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Dec 7, 2023, Feb 16, 2022 (2 updates tracked since 2022).

About Nbmc-xray Ekg NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NBMC-XRAY EKG (NPI 1063428308) is a healthcare organization registered as a diagnostic radiology in Coos Bay, Oregon and active in the NPI registry since July 2006. The organization holds 2 active CLIA laboratory certificates and lists Steven A Tersigni, Interim Ceo, as its authorized official.

NPPES Registry Identity

NPI1063428308
Entity TypeOrganization
Primary Taxonomy2085R0202X
Legal Business NameNORTH BEND MEDICAL CENTER INC
Location Address1900 WOODLAND DRCoos Bay, OR 97420-0000
Mailing Address1900 Woodland DrCoos Bay, OR 97420-0000 · (541) 267-5151 · Fax (541) 266-4501
Phone(541) 267-5151
Fax(541) 266-4501
Organization SubpartNo
Authorized OfficialSteven A TersigniInterim Ceo · (541) 267-5151
Enumeration DateJuly 31, 2006
Last NPPES UpdateDecember 7, 20232 updates tracked since enumeration
NPPES CertifiedDecember 7, 2023
✔ NPI 1063428308 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyRadiology · Diagnostic RadiologyAllopathic & Osteopathic Physicians
Taxonomy Code2085R0202X
Definition

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

Also ListedRadiology · Pediatric RadiologyTaxonomy 2085P0229X
Also ListedRadiology · Diagnostic UltrasoundTaxonomy 2085U0001X
1900 WOODLAND DR, Coos Bay, OR 97420
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Other Names 1

Doing Business AsNbmc-xray Ekg

Other Identifiers 2

Other690001817OR · Rr Group Ptan Number
Other1407812365OR · Nbmc Main Entity Npi

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Moda Health Plan, Inc., Providence Health Plan.Insurance ›

CLIA Laboratory Certificates CMS CLIA 2

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Compliance 38D0627047

North Bend Medical Center · Coos Bay, OR
Active · expires Oct 8, 2027
CLIA Number38D0627047
Laboratory TypeIndependent
Certificate Effective DateOctober 9, 2025
Certificate Expiration DateOctober 8, 2027
Laboratory DirectorDr. Geraldine A. Somera
Laboratory Phone(541) 266-1251
Laboratory LocationNorth Bend Medical Center1900 Woodland Drive, Coos Bay, OR 97420
CLIA data matches this NPI record on: Address Name
This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 38D0937421

North Bend Medical Physicians · Coos Bay, OR
Active · expires Sep 14, 2027
CLIA Number38D0937421
Laboratory TypePhysician Office
Certificate Effective DateSeptember 15, 2025
Certificate Expiration DateSeptember 14, 2027
Laboratory DirectorKent Z. Sharman MD
Laboratory Phone(541) 267-5151
Laboratory LocationNorth Bend Medical Physicians1900 Woodland Drive, Coos Bay, OR 97420
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

CAITLIN O'REILLY
Physical Therapist
1900 WOODLAND DR
COOS BAY, OR 97420
Coos County (541) 267-5151
CHLOE NICOLE LEIBY PT, DPT
Physical Therapist
1900 WOODLAND DR
COOS BAY, OR 97420
Coos County (541) 267-5151
BHAVANI PEDDAGOVINDU MD
Internal Medicine
1900 WOODLAND DR
COOS BAY, OR 97420
Coos County (541) 267-5151
DR. MAYNIKA VANI RASTOGI MD
Pediatrics
1900 WOODLAND DR
COOS BAY, OR 97420
Coos County (541) 267-5151
LISA M BOYLE RPH
Pharmacist
1900 WOODLAND DR, SUITE A
COOS BAY, OR 97420
Coos County (541) 267-4815
SHARON ELAINE MONSIVAIS M.D.
Surgery (Plastic and Reconstructive Surgery)
1900 WOODLAND DR
COOS BAY, OR 97420
Coos County (541) 267-5151
DR. DONNA LEE RABIN MD
Pediatrics
1900 WOODLAND DR
COOS BAY, OR 97420
Coos County (541) 267-5151
MR. GREGORY SOPKA PA
Physician Assistant
1900 WOODLAND DR
COOS BAY, OR 97420
Coos County (541) 267-5151

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is North Bend Medical Center Inc's NPI number?

The NPI number for North Bend Medical Center Inc is 1063428308. It was assigned to this organization in the NPPES registry on July 31, 2006. The provider is doing business as Nbmc-Xray Ekg.

Where is North Bend Medical Center Inc located?

North Bend Medical Center Inc is located at 1900 Woodland Dr, Coos Bay, OR 97420. The listed phone number is (541) 267-5151.

What is North Bend Medical Center Inc's specialty?

The primary specialty registered for this NPI is Radiology, specializing in Diagnostic Radiology, with taxonomy code 2085R0202X.

Does North Bend Medical Center Inc hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

What insurance does North Bend Medical Center Inc accept?

Health plans from Moda Health Plan, Inc. and Providence Health Plan list North Bend Medical Center Inc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for North Bend Medical Center Inc was last updated on December 7, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.